Evaluation of effects of perioperative oral care intervention on hospitalization stay and postoperative infection in patients undergoing lung cancer intervention.
Adult
Aged
Dental Caries
/ diagnosis
Empyema
/ drug therapy
Female
Humans
Length of Stay
/ statistics & numerical data
Lung
/ pathology
Lung Neoplasms
/ complications
Male
Middle Aged
Odds Ratio
Oral Health
Patients
Periodontitis
/ diagnosis
Perioperative Care
/ methods
Pneumonia
/ drug therapy
Postoperative Complications
/ drug therapy
Respiratory Tract Infections
/ drug therapy
Retrospective Studies
Risk Factors
Length of postoperative hospital stay
Lung cancer
Perioperative oral care intervention
Respiratory tract infections
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
02
10
2019
accepted:
01
04
2020
pubmed:
24
4
2020
medline:
29
12
2020
entrez:
24
4
2020
Statut:
ppublish
Résumé
This retrospective study investigated the effect of perioperative oral care intervention on postoperative outcomes in patients undergoing lung cancer resection, in terms of the length of postoperative hospital stay and the incidence of postoperative respiratory infections. In total, 585 patients underwent lung resection for lung cancer, 397 received perioperative oral care intervention, whereas the remaining 188 did not. This study retrospectively investigated the demographic and clinical characteristics (including postoperative complications and postoperative hospital stay) of each group. To determine whether perioperative oral care intervention was independently associated with either postoperative hospital stay or postoperative respiratory infections, multivariate analysis, multiple regression analysis, and multivariate logistic regression analysis were conducted. Parameters significantly associated with a prolonged postoperative hospital stay in lung cancer surgery patients were older age, postoperative complications, increased intraoperative bleeding, more invasive operative approach (e.g., open surgery), and lack of perioperative oral care intervention (standard partial regression coefficient (ß) = 0.083, p = 0.027). Furthermore, older age and longer operative time were significant independent risk factors for the occurrence of postoperative respiratory infections. Lack of perioperative oral care intervention was a potential risk factor for the occurrence of postoperative respiratory infections, although not statistically significant (odds ratio = 2.448, 95% confidence interval = 0.966-6.204, p = 0.059). These results highlight the importance of perioperative oral care intervention prior to lung cancer surgery, in order to shorten postoperative hospital stay and reduce the risk of postoperative respiratory infections.
Identifiants
pubmed: 32323001
doi: 10.1007/s00520-020-05450-9
pii: 10.1007/s00520-020-05450-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
135-143Références
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